Provider Demographics
NPI:1710981758
Name:GELFOND, JOYCE J (MD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:J
Last Name:GELFOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SKYFOREST DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-2030
Mailing Address - Country:US
Mailing Address - Phone:210-490-9334
Mailing Address - Fax:210-496-6719
Practice Address - Street 1:700 SKYFOREST DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-2030
Practice Address - Country:US
Practice Address - Phone:210-490-9334
Practice Address - Fax:210-496-6719
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD 97972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
00N602Medicare ID - Type Unspecified
E 80937Medicare UPIN